دورية أكاديمية

Predicting Outcome in Comatose Patients: The Role of EEG Reactivity to Quantifiable Electrical Stimuli.

التفاصيل البيبلوغرافية
العنوان: Predicting Outcome in Comatose Patients: The Role of EEG Reactivity to Quantifiable Electrical Stimuli.
المؤلفون: Liu, Gang, Su, Yingying, Liu, Yifei, Jiang, Mengdi, Zhang, Yan, Zhang, Yunzhou, Gao, Daiquan
المصدر: Evidence-based Complementary & Alternative Medicine (eCAM); 4/3/2016, Vol. 2016, p1-7, 7p, 2 Charts, 1 Graph
مصطلحات موضوعية: CARDIAC arrest, STROKE prognosis, CARDIOPULMONARY resuscitation, ELECTRIC stimulation, ELECTROENCEPHALOGRAPHY, COMA, STROKE patients, DESCRIPTIVE statistics, PATIENTS, PROGNOSIS
مستخلص: Objective. To test the value of quantifiable electrical stimuli as a reliable method to assess electroencephalogram reactivity (EEG-R) for the early prognostication of outcome in comatose patients. Methods. EEG was recorded in consecutive adults in coma after cardiopulmonary resuscitation (CPR) or stroke. EEG-R to standard electrical stimuli was tested. Each patient received a 3-month follow-up by the Glasgow-Pittsburgh cerebral performance categories (CPC) or modified Rankin scale (mRS) score. Results. Twenty-two patients met the inclusion criteria. In the CPR group, 6 of 7 patients with EEG-R had good outcomes (positive predictive value (PPV), 85.7%) and 4 of 5 patients without EEG-R had poor outcomes (negative predictive value (NPV), 80%). The sensitivity and specificity were 85.7% and 80%, respectively. In the stroke group, 6 of 7 patients with EEG-R had good outcomes (PPV, 85.7%); all of the 3 patients without EEG-R had poor outcomes (NPV, 100%). The sensitivity and specificity were 100% and 75%, respectively. Of all patients, the presence of EEG-R showed 92.3% sensitivity, 77.7% specificity, 85.7% PPV, and 87.5% NPV. Conclusion. EEG-R to quantifiable electrical stimuli might be a good positive predictive factor for the prognosis of outcome in comatose patients after CPR or stroke. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:1741427X
DOI:10.1155/2016/8273716